import { Img_Contact_QR1, Img_Contact_QR2 } from '../../images/ContactQr';
import './ContactUs.scss';

export const ContactUsPage = () => {
    return (
        <div className="ContactUsPage">

            <div className="section-15 wf-section">
                <div className="container-5 w-container">
                    <div className="columns-5 w-row">
                        <div className="column-14 w-col w-col-6">
                            <div className="text-block-16">Contact us</div>
                            <h1 className="heading-32">Want to be part of <span className="text-span-13">our ecosystem</span>?</h1>
                            <p className="paragraph-17">感谢您对Oli incubator的兴趣
                                作为第一步，我们欢迎你在这里留下你的详细信息
                                下面，我们将问你几个关于你和你的公司的简短问题。
                                Oli incubator将使用您提供的信息来评估您的业务和投资建议。如果我们对您的投资计划有兴趣，我们将使用您提供的详细信息与您联系。</p>
                        </div>
                        <div className="w-col w-col-6">
                            <div className="div-block-52 questions">
                                <div className="w-form">
                                    <form id="wf-form-akin-com-contact-form" name="wf-form-akin-com-contact-form" data-name="akin com contact form">
                                        <p className="title">1.What is your name?</p>
                                        <input type="text" className="text-field-4 w-input" name="name" data-name="Name" />
                                        <p className="title">2.What is your role?</p>
                                        <input type="text" className="text-field-4 w-input" name="name" data-name="Name"  />
                                        <p className="title">3.What is your email?</p>
                                        <input type="text" className="text-field-4 w-input" name="name" data-name="Name"  />
                                        <p className="title">4.What is the name of your company? </p>
                                        
                                        <input type="text" className="text-field-4 w-input" name="name" data-name="Name"  />
                                        <p className="title">5.What is your website URL?</p>
                                        
                                        <input type="text" className="text-field-4 w-input" name="name" data-name="Name"/>
                                        <p className="title">6.What year was you founded?</p>
                                        
                                        <input type="text" className="text-field-4 w-input" name="name" data-name="Name" />
                                        <p className="title">7.Where is your business headquartered?</p>
                                        
                                        <input type="text" className="text-field-4 w-input" name="name" data-name="Name" />
                                        <p className="title">8.How many team members do you have working full-time or equivalent full-time?</p>
                                        
                                        <input type="text" className="text-field-4 w-input" name="name" data-name="Name"  />
                                        <p className="title">9.What is the primary target industry for your product?</p>
                                        
                                        <input type="text" className="text-field-4 w-input" name="name" data-name="Name" />
                                        <p className="title">10.Provide a one-two line description of the problem you are solving. How does your solution solve the problem?</p>
                                        
                                        <input type="text" className="text-field-4 w-input" name="name" data-name="Name" />
                                        <p className="title">11.What is your business model?</p>
                                        <input type="text" className="text-field-4 w-input" name="name" data-name="Name"  />
                                        <p className="title">12.Is your business.... </p>
                                        <select id="Type" name="Type" data-name="Type" className="select-field w-select">
                                            <option value="Careers">A pre-revenue business</option>
                                            <option value="Partners">B revenue generating business with domestic operations</option>
                                            <option value="Research">C revenue generating business with domestic and international operations</option>
                                            <option value="Research">D Other</option>
                                        </select>
                                        <p className="title">13.What investment stage is your business currently in?</p>
                                        <select id="Type" name="Type" data-name="Type" className="select-field w-select">
                                            <option value="Careers">A.Self-funded</option>
                                            <option value="Partners">B Angel</option>
                                            <option value="Research">C Seed</option>
                                            <option value="Research">D Series A</option>
                                            <option value="Research">E.Series B or further</option>
                                            <option value="Research">F Other </option>
                                        </select>
                                        <p className="title">14.How much capital has your business raised from private investors and/or government grants </p>
                                        <select id="Type" name="Type" data-name="Type" className="select-field w-select">
                                            <option value="Careers">A $0</option>
                                            <option value="Partners">B $1 - $250,000</option>
                                            <option value="Research">C $250,001 - $500,000</option>
                                            <option value="Research">D $500,001 - $750,000</option>
                                            <option value="Research">E $750,001 - $1,000,000</option>
                                            <option value="Research">{'F >=$1,000,000'}</option>
                                        </select>
                                        
                                        <p className="title">15.Who referred you to Oli incubator?</p>
                                        <input type="text" className="text-field-4 w-input" name="name" data-name="Name"/>
                                        <input type="submit" value="Submit Message" data-wait="Please wait..." className="submit-button-3 w-button" />
                                    </form>
                                    <div className="w-form-done">
                                        <div>Thank you!Your submission has been received!</div>
                                    </div>
                                    <div className="w-form-fail">
                                        <div>Oops!Something went wrong while submitting the form.</div>
                                    </div>
                                </div>
                            </div>
                        </div>
                    </div>
                </div>
                <img src="https://uploads-ssl.webflow.com/5d1f262a719f5884d8fee399/5fb47b1dacc0cadae640ead0_white_weave_bottom_div.svg" loading="lazy" alt="" className="image-33" />
            </div>


        </div>
    )
}